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a <br />the Evergreen CONSTRUCTION <br />CITY CF PERMIT <br />everelct <br />CITY HALL 259-1174F <br />EVERETT. WA 91201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />Mel Forrey 7532 Lower Ridge Road 353-4659 <br />9 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />Z <br />C <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />O1 <br />zl� Z1 <br />ul <br />PERMIT <br />❑I�,C,,OMBINATION <br />QCBUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 200.00 <br />❑DEMOLISH CkjENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />replace back yard fence (7211) <br />PROPOSED USE <br />single family <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 43 BLOCK 4 OF BeVerlV Acreage Tracts <br />- <br />NO. <br />TYPE OF EPUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.V. MEA. <br />I <br />JOB ADDRESS <br />7532 Lower Ridge Road <br />SPi :E & WALL HEATERS - B.T.U. <br />UNIT HEATERS—B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTPiS DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS' <br />1 <br />KITCHEN SINKS & LISP. <br />I <br />SUBTOTAL S <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS — RAIN LEADERS <br />I <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD DF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAVIS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X 6/1/78 <br />SERVICE SINKS <br />SUMPS — SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS — ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE SI <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE _ <br />SIGNATURE OFCONTRACTOR OOR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ 200.00 <br />5 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />.5 1.00 <br />PERMIT VALIDATION t't -- t <br />WHEN PROPERLY VALIDATED (IN IE)Z 1 EHMIT <br />REIt'EIP'T <br />' THANK Ydih <br />Co <br />n1"'LICAIION hlDU9LU 11Y: <br />PLANS CHECKED BY: <br />APPI+OVEDFOB ISSIIANCFUY. <br />eb <br />AUDHESS FILE <br />